Organization Active NPI

Enlightened Solutions Detox LLC

  • Substance Abuse Rehabilitation Facility
  • Atlantic City, NJ
National Provider Identifier
1326554882
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ENLIGHTENED SOLUTIONS DETOX LLC
Practice address
1501 N Albany Ave
Atlantic City, NJ 08401-1209
Phone
(609) 270-4006
NPI assigned
Dec 20, 2017
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rob M Snyder
Title
Ceo
Phone
(609) 270-5223

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1501 N Albany Ave
Atlantic City, NJ 08401-1209

Mailing address

1501 N Albany Ave
Atlantic City, NJ 08401-1209
Phone (609) 270-4006

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2142652Enlightened Solutions Detox LLC1501 N Albany Ave, Atlantic City, NJ 08401Certificate of waiverJan 16, 2028

National Provider Directory

National Provider Directory

Locations

1501 N Albany Ave
Atlantic City, NJ 08401
Phone (609) 270-4006

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1326554882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N ALBANY AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084011209",
            "telephone_number": "609-270-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N ALBANY AVE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084011209",
            "telephone_number": "609-270-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENED SOLUTIONS DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-270-5223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.